MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST
|
2023
|
473305492
|
2024-10-14
|
MERRICK ORAL SURGERY, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
CATHIE LYONS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST
|
2022
|
473305492
|
2023-09-29
|
MERRICK ORAL SURGERY, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
CATHIE LYONS |
|
|
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST
|
2021
|
473305492
|
2022-10-14
|
MERRICK ORAL SURGERY, PLLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
STEVEN D'ABUNDO |
|
|
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST
|
2020
|
473305492
|
2021-10-12
|
MERRICK ORAL SURGERY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
STEVEN D'ABUNDO |
|
|
MERRICK ORAL SURGERY, PLLC RETIREMENT PLAN AND TRUST
|
2019
|
473305492
|
2020-10-14
|
MERRICK ORAL SURGERY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
CATHIE LYONS |
|
|
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST
|
2017
|
473305492
|
2018-10-04
|
MERRICK ORAL SURGERY PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
STEVEN DABUNDO |
|
Role |
Employer/plan sponsor |
Date |
2018-10-04 |
Name of individual signing |
STEVEN DABUNDO |
|
|
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST
|
2016
|
473305492
|
2017-09-28
|
MERRICK ORAL SURGERY PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2017-09-28 |
Name of individual signing |
STEVEN DABUNDO |
|
Role |
Employer/plan sponsor |
Date |
2017-09-28 |
Name of individual signing |
STEVEN DABUNDO |
|
|
MERRICK ORAL SURGERY PLLC RETIREMENT PLAN AND TRUST
|
2015
|
473305492
|
2016-09-30
|
MERRICK ORAL SURGERY PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5165461444
|
Plan sponsor’s
address |
2116 MERRICK AVENUE, SUITE 4008, MERRICK, NY, 11566
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
STEVEN DABUNDO |
|
Role |
Employer/plan sponsor |
Date |
2016-09-30 |
Name of individual signing |
STEVEN DABUNDO |
|
|